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Published in: Acta Diabetologica 6/2017

01-06-2017 | Original Article

Leptin induces osteoblast differentiation of human valvular interstitial cells via the Akt and ERK pathways

Authors: Mickael Rosa, Camille Paris, Yoann Sottejeau, Delphine Corseaux, Emmanuel Robin, Madjid Tagzirt, Francis Juthier, Ramadan Jashari, Antoine Rauch, André Vincentelli, Bart Staels, Eric Van Belle, Sophie Susen, Annabelle Dupont

Published in: Acta Diabetologica | Issue 6/2017

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Abstract

Aims

Calcific aortic valve disease (CAVD) affects 2–6% of the population over 65 years, and age, gender, smoking, overweight, dyslipidemia, diabetes contribute to the development of this disease. CAVD results, in part, from the osteoblast differentiation of human valvular interstitial cells (VICs). This study aims to elucidate the effects of leptin on osteoblast phenotype of VICs and the signalling pathways involved.

Methods

Patients who underwent aortic valve replacement for CAVD (n = 43) were included in this study. Patients with coronary artery disease (CAD) without CAVD (n = 129) were used as controls.

Results

Patients with CAVD had higher serum leptin concentrations than CAD patients (p = 0.002). Leptin was found in calcific aortic valves, with higher concentrations in calcified versus non-calcified zones (p = 0.01). Chronic leptin stimulation of human VICs enhanced alkaline phosphatase (ALP) activity and ALP, BMP-2 and RUNX2 expression and decreased osteopontin expression. Moreover, inhibiting Akt or ERK during leptin stimulation lowered the expression of osteoblast markers in VIC.

Conclusions

Taken together, these findings indicate that leptin plays a critical role in CAVD development by promoting osteoblast differentiation of human aortic VICs in an Akt- and ERK-dependent manner. This study highlights the role of leptin in CAVD development, and further studies are needed to determine whether reducing circulating leptin levels or blocking leptin actions on VICs is efficient to slow CAVD progression.
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Metadata
Title
Leptin induces osteoblast differentiation of human valvular interstitial cells via the Akt and ERK pathways
Authors
Mickael Rosa
Camille Paris
Yoann Sottejeau
Delphine Corseaux
Emmanuel Robin
Madjid Tagzirt
Francis Juthier
Ramadan Jashari
Antoine Rauch
André Vincentelli
Bart Staels
Eric Van Belle
Sophie Susen
Annabelle Dupont
Publication date
01-06-2017
Publisher
Springer Milan
Published in
Acta Diabetologica / Issue 6/2017
Print ISSN: 0940-5429
Electronic ISSN: 1432-5233
DOI
https://doi.org/10.1007/s00592-017-0980-3

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